DR. KEIRON TAKAHRIA KENNEDY (NPI# 1740221944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740221944 |
| Entity Type | Individual |
| Full Name | DR. KEIRON TAKAHRIA KENNEDY |
| Credential | M.D. |
| Practice Address |
77 Nealy Ave Langley Afb VA 23665 |
| Mailing Address |
11995 Singletree Ln Ste 500 Eden Prairie MN 55344-5347 |
| Practice Telephone | 7577646935 |
| Mailing Telephone | 9525951301 |
| Mailing Fax Number | 6122944903 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2018-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME136646 | FL | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0101259197 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6604 Surfside Blvd, Apollo Beach, FL 335723009 | 9525951100 | 6122944903 |
| Street Address |
77 NEALY AVE |
| City | LANGLEY AFB |
| State | VA |
| Zip Code | 23665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568096634 | Angela Rene Tuckett | Registered Nurse | 77 Nealy Ave, Langley Afb, VA 23665-2040 | 2020-02-27 |
| 1639729106 | Michael C Etheredge II | Military Health Care Provider | 77 Nealy Ave, Langley Afb, VA 23665-2040 | 2019-09-17 |
| 1588123962 | Lynzy Star Lee | Military Health Care Provider | 77 Nealy Ave, Langley Afb, VA 23665-2040 | 2019-03-15 |
| 1720562531 | Alexander Isaac Benavidez | Military Health Care Provider | 77 Nealy Ave, Langley Afb, VA 23665-2005 | 2018-09-18 |
| 1033516257 | Corey Lee Czajka | Emergency Medical Technician, Basic | 77 Nealy Ave, Langley Afb, VA 23665-2040 | 2014-12-03 |
| 1285054569 | Kristen E Spratt | Internal Medicine | 77 Nealy Ave, Langley Afb, VA 23665-2040 | 2014-04-24 |
| 1750700837 | Christopher Gurries | Dentist | 77 Nealy Ave, Langley Afb, VA 23665-2040 | 2014-04-16 |
| 1093153447 | Steven Kyle Hammond I | Military Health Care Provider | 77 Nealy Ave, 633d Mdg, Langley Afb, VA 23665-2040 | 2013-06-07 |
| 1215277454 | Jason Kieffer | Physician Assistant | 77 Nealy Ave, Langley Afb, VA 23665-2040 | 2013-02-26 |
| 1295074714 | Ashley Nicole Abbott | Military Health Care Provider | 77 Nealy Ave, Langley Afb, VA 23665-2040 | 2013-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228938 | Mai Stern | Student in an Organized Health Care Education/Training Program | Langley Afb Dental Clinic, Hampton, VA 23665 | 2020-06-05 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1316574809 | Kimberly C Easterling | Student in an Organized Health Care Education/Training Program | 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 | 2020-03-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| 1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
| 1285062216 | Michael John Vietti | Physician Assistant | 633 Mdg 77 Nealy Ave, Yorktown, VA 23665 | 2013-10-30 |
| 1396182234 | Micaela Jane Dagucon | General Practice | 633d Mdg/sghc, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2013-06-02 |
| 1912212051 | Michele Leigh Shirley | Pharmacist | 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 | 2010-08-13 |
| 1497915219 | Stephen Warren Porter | Dentist | 76 Nealy Ave, 1st Dental Squadron/sgd, Langley Air Force Base, VA 23665 | 2008-06-16 |
| Find all providers in zip 23665 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114904539 | Matthew Gregory Niemi | Radiology | 45 Pine St, Langley Afb, VA 23665-2025 | 2005-12-28 |
| 1265422240 | Mark William Sankey | Radiology | 77 Nealy Ave, Langley Afb, VA 23665-2040 | 2005-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928034 | Sentara Advanced Imaging Solutions, LLC | Radiology | 6201 E Virginia Beach Blvd Ste 104, Norfolk, VA 23502-2824 | 2020-10-05 |
| 1336623123 | Dominion Imaging LLC | Radiology | 6600 W Broad St Ste 200, Richmond, VA 23230-1709 | 2018-09-18 |
| 1851816680 | Washington Radiology Associates, Pllc | Radiology | 1005 N Glebe Rd Ste 110, Arlington, VA 22201-4751 | 2017-08-14 |
| 1992257497 | Ahmed Refaat Dakhly Mohamed | Radiology | 428 Monroe Ln, Apt 206, Charlottesville, VA 22903-3325 | 2016-10-31 |
| 1497140644 | Eric Young You | Radiology | Pob 980615, 1250 E. Marshall St, Richmond, VA 23298-0615 | 2015-04-04 |
| 1073903688 | Shelby Jean Galloway | Radiology | 12709 Willow Pt. Dr., Fredericksburg, VA 22408 | 2015-02-03 |
| 1740692581 | Charles Manetz | Radiology | 14107 Mortemer Rd, Midlothian, VA 23113-6060 | 2014-05-28 |
| 1821338153 | Minutemen Radiology Inc | Radiology | 4551 Jefferson Pointe Ln, Suite # 5 ., Prince George, VA 23875-1478 | 2013-02-23 |
| 1154673713 | Waleed Ibrahim | Radiology | 4723 Commons Dr, Apt 304, Annandale, VA 22003-5066 | 2012-10-08 |
| 1992063234 | Gustavo A Elias | Radiology | 10401 Spotsylvania Ave Ste 203, Fredericksburg, VA 22408 | 2012-04-24 |
| Find all providers with the same taxonomy | ||||
| City | LANGLEY AFB |
| Zip Code | 23665 |
Please comment or provide details below to improve the information on DR. KEIRON TAKAHRIA KENNEDY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.